Evidence map›Paper›PMID 35380052›Full record

ArticleStroke2022

International Prevalence and Mechanisms of SARS-CoV-2 in Childhood Arterial Ischemic Stroke During the COVID-19 Pandemic.

Lauren A Beslow, Shannon C Agner, Jonathan D Santoro, Dipak Ram, Jenny L Wilson, Dana Harrar, Brian Appavu, Stuart M Fraser, Thomas Rossor, Marcela D Torres and 11 more

Open access · greenAbstract read
In one paragraph

Article in Stroke, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.9field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Advances in the Diagnosis and Treatment of Pediatric Arterial Ischemic Stroke.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
    Review
  6. Article
  7. Review
  8. Review
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 19 institutions in 8 countries.

Lauren A BeslowDivision of Neurology, Children's Hospital of Philadelphia, Departments of Neurology and Pediatrics, Perelman School of Medicine at the University of Pennsylvania (L.A.B.).ORCID 0000-0003-0571-980X
Shannon C AgnerDivision of Pediatric and Developmental Neurology, St. Louis Children's Hospital, Washington University School of Medicine, MO (S.C.A.).ORCID 0000-0002-8801-8058
Jonathan D SantoroDivision of Neurology, Children's Hospital Los Angeles, Department of Neurology, Keck School of Medicine at USC, CA (J.D.S.).ORCID 0000-0002-8350-8234
Dipak RamDepartment of Paediatric Neurology, Royal Manchester Children's Hospital, England, United Kingdom (D.R.).ORCID 0000-0001-8544-2534
Jenny L WilsonDepartment of Pediatrics, Division of Pediatric Neurology, Oregon Health & Science University, Portland (J.L.W.).ORCID 0000-0001-6677-869X
Dana HarrarDivision of Neurology, Children's National Medical Center, Washington' D.C. (D.H.).ORCID 0000-0001-6382-8479
Brian AppavuDivison of Neurology, Phoenix Children's Hospital, University of Arizona College of Medicine - Phoenix (B.A.).
Stuart M FraserDivision of Neurology, Children's Memorial Hermann Hospital, Houston' TX (S.M.F.).ORCID 0000-0003-4390-0490
Thomas RossorEvelina London Children's Hospital, England, United Kingdom (T.R.).ORCID 0000-0001-5472-1813
Marcela D TorresDivision of Hematology, Cook Children's Medical Center, Fort Worth, TX (M.D.T.).ORCID 0000-0002-7356-4910
Manoëlle KossorotoffFrench Center for Pediatric Stroke, Pediatric Neurology Department, APHP University Hospital Necker-Enfants maladies, Paris, France (M.K.).ORCID 0000-0002-0813-9045
Yenny C Zuñiga ZambranoUnit of Pediatric Neurology, HOMI Fundación Hospital Pediátrico la Misericordia, Bogotá, Colombia (Y.C.Z.Z.).ORCID 0000-0002-9177-9456
Marta Hernández-ChávezUnit of Pediatric Neurology, Division of Pediatrics, School of Medicine, Pontificia Universidad Católica de Chile, Santiago (M.H.-C.).ORCID 0000-0002-4238-8969
Sahar M A HassaneinDepartment of Pediatrics, Faculty of Medicine, Ain Shams University, Cairo, Egypt (S.M.A.H.).ORCID 0000-0002-0191-8425
Dimitrios ZafeiriouDepartment of Pediatrics, Hippokratio General Hospital, Aristotle University, Thessaloniki, Greece (D.Z.).ORCID 0000-0003-2187-9299
Michael M DowlingDepartments of Pediatrics and Neurology, University of Texas Southwestern Medical Center, Dallas (M.M.D.).ORCID 0000-0001-5058-6589
Ilona KopytaDepartment of Child Neurology, Medical University of Silesia in Katowice, Poland (I.K.).ORCID 0000-0002-0346-1086
Nicholas V StenceSection of Pediatric Radiology, Children's Hospital Colorado, Department of Radiology, University of Colorado School of Medicine' Aurora (N.V.S.).ORCID 0000-0002-2710-7073
Timothy J BernardSection of Child Neurology, Children's Hospital Colorado, Departments of Pediatrics and Neurology, Hemophilia and Thrombosis Center, University of Colorado School of Medicine, Aurora (T.J.B.).
Nomazulu DlaminiDivision of Neurology, Department of Pediatrics, The Hospital for Sick Children, Child Health Evaluative Sciences Program, University of Toronto, ON, Canada (N.D.).ORCID 0000-0001-5927-3132
International Pediatric Stroke Study Group
Pontificia Universidad Católica de Chile · CLAin Shams University · EGChildren's Hospital Colorado · USEvelina London Children's Healthcare · GBMedical University of Silesia · PLSouthwestern Medical Center · USChildren's Hospital of Los Angeles · USChildren's Hospital of Philadelphia · USChildren's National · USCook Children's Medical Center · USHospital for Sick Children · CAInstitut Necker Enfants Malades · FRIppokrateio General Hospital of Thessaloniki · GRMemorial Hermann · USMisericordia University · USOregon Health & Science University · USPhoenix Children's Hospital · USRoyal Manchester Children's Hospital · GBSt. Louis Children's Hospital · US

Funding

Child Neurologist Career Development Program (CNCDP)K12NS098482 · NINDS · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI SCHLAGGAR, BRADLEY L · 2016 to 2025
$26.2M
Overall: Eunice Kennedy Shriver Intellectual and Developmental Disabilities Research Center at VanderbiltP50HD103537 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Lea K Davis · 2020 to 2026
$10.3M
NICHD NIH HHS P50 HD103537NINDS NIH HHS K12 NS098482
6 · The paper itself

Abstract

backgroundData from the early pandemic revealed that 0.62% of children hospitalized with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) had an acute arterial ischemic stroke (AIS). In a larger cohort from June 2020 to December 2020, we sought to determine whether our initial point estimate was stable as the pandemic continued and to understand radiographic and laboratory data that may clarify mechanisms of pediatric AIS in the setting of SARS-CoV-2.

methodsWe surveyed international sites with pediatric stroke expertise to determine numbers of hospitalized SARS-CoV-2 patients <18 years, numbers of incident AIS cases among children (29 days to <18 years), frequency of SARS-CoV-2 testing for children with AIS, and numbers of childhood AIS cases positive for SARS-CoV-2 June 1 to December 31, 2020. Two stroke neurologists with 1 neuroradiologist determined whether SARS-CoV-2 was the main stroke risk factor, contributory, or incidental.

resultsSixty-one centers from 21 countries provided AIS data. Forty-eight centers (78.7%) provided SARS-CoV-2 hospitalization data. SARS-CoV-2 testing was performed in 335/373 acute AIS cases (89.8%) compared with 99/166 (59.6%) in March to May 2020,

conclusionsThe risk of AIS among children hospitalized with SARS-CoV-2 appeared stable compared with our earlier estimate. Among children in whom SARS-CoV-2 was considered the main stroke risk factor, inflammatory arteriopathies were the stroke mechanism.

Indexed as

COVID-19Ischemic StrokeStrokeChildCOVID-19 TestingHumansPandemicsPrevalenceSARS-CoV-2arteriopathychildhospitalizationischemic strokerisk factors

Identifiers

PMID35380052
PMCPMC9311284
OpenAlexW4225843829

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.